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Trial Title: Clinical Study of Neoadjuvant Therapy Outcome Prediction of Muscle-invasive Bladder Cancer Based on PTC Drug Sensitivity Detection

NCT ID: NCT05767528

Condition: Muscle-Invasive Bladder Carcinoma

Conditions: Official terms:
Urinary Bladder Neoplasms

Conditions: Keywords:
Muscle-Invasive Bladder Carcinoma (MIBC)
Patient-derived tumor-like cell clusters (PTC)

Study type: Observational

Overall status: Recruiting

Study design:

Time perspective: Prospective

Intervention:

Intervention type: Diagnostic Test
Intervention name: Patient-derived tumor-like cell clusters (PTC) drug sensitivity testing
Description: Conducting the neoadjuvant therapy of FDA-approved drugs for patients with muscle-invasive bladder carcinoma, culturing the patient-derived tumor-like cell clusters for drug sensitivity testing simultaneously, then assess the accuracy of the diagnostic test by combination and analysis of these results
Arm group label: Case Group

Summary: In this study, investigators plan to conduct the 3D in vitro culture PTC drug sensitivity testing of fresh tumor specimen which obtained by endoscopic biopsy or other methods. Through assessing the consistency between the testing results and the patients' neoadjuvant treatment outcomes, they would evaluate the accuracy of PTC drug sensitivity testing and its application value in the individualized precision medicine for muscle-invasive bladder carcinoma.

Detailed description: This is a prospective observational study. In this study, researchers propose to enroll 40 participants above 18 years of age with muscle-invasive bladder carcinoma, who are going to receive the neoadjuvant therapy before surgery. Collecting fresh tumor samples for PTC drug sensitivity testing, conducting neoadjuvant therapy for the subjects simultaneously. By combining PTC prediction results with the patients' clinical treatment process and medication feedback, researchers could estimate the accuracy of PTC drug sensitivity testing. Completion of this research would provide real-world figures to support for the clinical application for PTC drug sensitivity testing, and a method is going to be established to guide the clinical treatment regimen for patients with muscle-invasive bladder carcinoma.

Criteria for eligibility:

Study pop:
Urology patients with muscle-invasive bladder carcinoma above 18 years of age, at Chinese PLA General Hospital

Sampling method: Non-Probability Sample
Criteria:
Inclusion Criteria: - 1 The lesion of biopsy was diagnosed as muscle-invasive bladder cancer - 2 Age ≥ 18 years old, regardless of gender - 3 Treatment plan of bladder removal surgery - 4 Neoadjuvant therapy before surgery - 5 Adequate fresh tumor tissue can be obtained by endoscopic biopsy for PTC drug sensitivity testing - 6 ECOG 0-1, expected survival is more than 3 months - 7 Normal or stable hepatic, renal, and hematopoietic function - 8 Normal or stable blood pressure - 9 The subjects are willing to participate, sign an informed consent form, and have good compliance Exclusion Criteria: - 1 Patients with incomplete clinical data - 2 Central nervous system metastasis - 3 The presence of other malignant diseases was discovered during treatment, which is going to interfere the study - 4 Researchers believe that the patient is not suitable for participation after comprehensive evaluation - 5 Refuse the treatment or follow-up plans

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Chinese PLA General Hospital

Address:
City: Beijing
Country: China

Status: Recruiting

Contact:
Last name: Shaoxi Niu, M.D.&Ph.D.

Phone: +8613911353443
Email: g4niuniu@163.com

Start date: December 8, 2022

Completion date: December 8, 2024

Lead sponsor:
Agency: Chinese PLA General Hospital
Agency class: Other

Collaborator:
Agency: Beijing GeneX Health Technology Co., Ltd
Agency class: Other

Source: Chinese PLA General Hospital

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05767528

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